| NPI | 1679334387 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ASHLEY MARIE MAHIN Owner 317-679-3031 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2024-01-19 | 
| Last Update Date | 2025-07-17 |